Free IN THE SUPERIOR COURT FOR THE STATE OF ALASKA - Alaska

IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT

In the Matter of the Change of Name of

Current Name of

Adult

) ) ) ) ) ) , ) Minor Child ) )

CASE NO. AFFIDAVIT OF POSTING

CI

I,

, being first duly sworn, state that I personally

posted on public bulletin boards a Notice Of Petition To Change Name in the above entitled case as required by the Order For Hearing, Publication and Posting dated I posted the Notice on in 1. 2. 3. (date) , Alaska: at the following public places .

Date

Signature Mailing Address City State ZIP , Alaska

Subscribed and sworn to or affirmed before me at on . (date) (SEAL)

Clerk of Court, Notary Public or other person authorized to administer oaths. My commission expires:

CIV-702 (9/02)(cs) AFFIDAVIT OF POSTING

Civil Rule 84(b) AS 09.55.010